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Cecilia Makiwane Hospital, a Symbol of Promoting Better Healthcare for All

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Cecilia Makiwane Hospital, a Symbol of Promoting Better Healthcare for All REPUBLIC OF SOUTH AFRICA MAS PHATHISANE ISSUE 2 2018 Eastern Cape Province 5th Administration Service Delivery Report Free Copy New hospital Mobile clinics Nelson Mandela beds supplied to bringing health Academic Hospital health facilities services to far- produces top health flung areas practioners page 3 page 4 page 8 CECILIA MAKIWANE HOSPITAL, A SYMBOL OF PROMOTING BETTER HEALTHCARE FOR ALL Eastern Cape Premier Phumulo Masualle, former Health MEC Pumza Dyantyi and Dr Thobile Mbengashe, head of the Eastern Cape health department. nvesting in community health care infrastructure is part of the Eastern Cape As a centre for promoting better healthcare for all in the Eastern Cape, the IProvince strategy to provide the right care, at the right time and in the right place. hospital allows the Eastern Cape Province to expand government’s e-health To meet the growing demand for healthcare and long-term care in the strategy by providing advanced clinical support to rural areas. coming years, the provincial government continues to finance The flagship Cecilia Makiwane is just one example of the investments in new and updated facilities, equipment and skills. To meet the growing demand government’s commitment to invest in health infrastructure, The revamped state of the art Cecilia Makiwane hospital at for healthcare and long-term technology and innovation to contribute significantly to improve a cost of R988 million, has become the symbol of promoting health outcomes for the people of the province. better healthcare for all Eastern Cape residents and an example care in the coming years, the The following are key infrastructure achievements and high where the 40 424 health care employees in 89 public hospitals impact projects that have been completed by the Infrastructure and 772 public clinics do all they can to heal the sick and provincial government continues Unit: comfort the wounded. to finance investments in • Upgrading of St Patrick’s District Hospital at a cost of R341 The hospital, whose 526- bed hospital is supported by an new and updated facilities, million; integrated system optimising efficiencies in the delivery of • Upgrading of Frontier Hospital at a cost of R244 million; quality health care, exploits technological innovation which cut equipment and skills. Repairs and renovations to Bambisana and Zithulele down patient waiting times, improve diagnosis, and improve • Hospitals in OR Tambo health outcomes. Procurement of Medical Equipment for Ideal Clinics Cecilia Makiwane provides support to districts and maternity units through • telemedicine and outreach programmes by specialist teams. • Procurement of Medical Equipment for hospitals focusing on the following ► clinical areas: Accident and Emergency, Out Patient Department, Maternity (for Neonate Intensive Care Unit and High Care), Theatres, X- Ray Department, Surgical Instruments, Diagnostic Sets and Medical Furniture. Facilities with high maternal deaths and life support requirements have received the required equipment such as Ultrasounds Units, Cardiotocography machines and infant warmers. These facilities are Butterworth; Madwaleni; Mthatha Regional; St Eliz- abeth; St Patricks; All Saints; Wilhem Stahl; Aliwal North; Grey; Dora Nginza Hospital, Frontier Regional Hospital and St Patricks District Hospital. X-ray machines have been installed at Middledrift, Nontyatyambo and Cala Community Health Centres; Mthatha Regional, Butterworth, St Patricks and Grey hospitals. To improve services and clinical outcomes in our high priority areas, there has also been improvements of maternity and labour wards; neonatal ICUs and nursery; theatres and recovery bays; emergency units and resuscitation rooms; and outpatient departments. Investing in people’s health as human capital and promoting equitable access to healthcare contribute to strengthening social cohesion, which is a priority for the Eastern Cape provincial government. ■ Right image: President Ramaphosa, Health Minister Aaron Motsoaledi and Premier Masualle inspecting CHM state of the art machine. HEALTH PROGRAMMES PERFORMANCE INDICATORS OF THE 5-YEAR PERIOD 2013/14 TO 2017/18 Indicator name 2013/14 2014/15 2015/16 2016/17 2017/18 HIV and AIDS / STI / TB (HAST) TB treatment success 78,30% 81,80% 83,70% 84,80% 86% TB death rate 6,70% 5,50% 5,20% 5,30% 4,40% HIV test done 1 094 700 1 296 397 1 696 368 1 932 800 1 726 702 Total clients remaining on ART at the end of 288 483 320 060 361 166 394 410 452 072 the month PREVENTION OF MOTHER TO CHILD TRANSMISSION Antenatal 1st visit 43,30% 48,10% 59,70% 63,80% 65% before 20 weeks rate Antenatal client start 79% 91,70% 93,90% 93,30% 86,60% on ART rate Infant PCR test positive around 10 2% 1,70% 1,70% 1,60% 1,20% weeks rate MOTHER TO CHILD TRANSMISSION Neonatal death in 16.6/1000 18.2/1000 15.8/1000 13.2/1000 13.8/1000 facility rate Maternal mortality in 148.3/100 135.2/100 135/100 128/100 148/100 000 facility 00 000 000 000 PHARMACEUTICAL SERVICES Percentage of order fulfilment of essential 86% 78% 84% 84% 84% drugs at the depots HUMAN RESOURCE TRAINING AND DEVELOPMENT Number of 1st year nurses awarded 350 350 350 351 350 bursaries 2 MASIPHATHISANE ISSUE 2 - HEALTH SERVICES United in achieving quality health care for all Fraud prevention line: 0800 701 701 24 hour Call Centre: 0800 032 364 Website: www.ecdoh.gov.za DID YOU KNOW? • The Eastern Cape Health Department offers pregnancy testing to all women of child bearing age who visit health care facilities. This has resulted in an increase in the percentage of ante-natal first visits before 20 weeks of pregnancy. • The provincial measure of disease and deaths averted shows that the province has achieved a substantial reduction in deaths related to diarrhoea cases in children under five years of age which reduced to 3.4%, from 3.6% in 2015 and 2016. This means there were 147 less children dying from diarrhoea than the previous year baseline; • Through the Department of Health strategies, children under five years pneumonia case fatality rate also went down from 3.7% at end of 2015/16 to 2.7% by mid-year of 2016/17; • The extensive Human Papilloma Virus vaccination campaign undertaken during 2016/17 contributed in decreasing the number of young girls susceptible to cervical cancer. At the end of 2015/16 year, 99.4% of the targeted 80 643 eligible school girls were vaccinated. Cervical cancer screening coverage reached the 60%. • Through the Integrated School Health Programme the health department managed to provide health screening services to 103 824 learners across the Province. These include Nutritional assessment; Physical assessment; Vision; Oral health; Hearing; Chronic illness; TB screen; Speech; Psychosocial support; and mental health; • The health department has managed to deworm 27 112 learners; identified and managed 1 092 cases of malnutrition and under-nutrition; 1 557 cases of obesity and also immunized 26 441 learners; • The department has provided referral services for 14 527 children with various ailments such as suspected TB; speech problems; hearing; oral and eye health; • Long waiting times for Orthopaedic Operations at Bedford Orthopaedic Hospital have been drastically reduced as a result of the provision of specialists Newly delivered beds help Eastern Cape patients to receive healthcare services with ease. and procurement of more theatre equipment. Surgery waiting period has reduced from an average of three months in September 2016 to less than one month in January 2017. • The Spinal Services at Nelson Mandela Academic Hospital have been boosted through a supportive collaboration with the Head of Orthopaedics at the University of Pretoria. This collaboration ensures that this rare service is strengthened for the benefit of the people of this province; • The department of health trained and recruited seven super specialist for Nelson Mandela Academic Hospital: Anaesthetist and Intensivist, Physician and Rheumatologist, Physician and Cardiologist, Paediatrician and Neonatologist, Ear Nose & Throat Specialist, Orthopaedic Specialist and Paediatrician and Infectious Disease specialist; • The health department now has qualified Gynaecology Oncologist who is stationed at Dora Nginza Regional Hospital and a qualified Radiation Oncologist both of which are working hard to boost our fight against cancer. • The department has already achieved its annual targets for HIV testing services and condom distribution, and further managed to reduce the HIV/Aids prevalence rate for people between 15 and 49 years of age from 10.4% in 20 14 to 7.7% by 2016 and • The department ensures drug availability and effective management of drug stock outs, the department is strengthening use of the Stock Visibility System which was rolled out to all Primary Health Care facilities and hospitals. • The health department has procured and distributed eighty five (85) mobile clinics to access “hard-to-reach “areas across the province; • Five hundred and fifty eight (558) Ward-Based Primary Health Care (PHC) and Integrated School Health Programme Teams have been established to improve health access at households and quintile one and two schools; • Through the Human Papilloma Virus Vaccination (HPV) campaign, the department has vaccinated 395 924, Grade 4 girl learners to prevent cancer of the cervix, over the MTSF period; • As part of the integrated school health programme, the department has reached 220 390 learners of which 152 193 are Grade 1 learners and 68 197 Eye tests for residents available free of charge. Grade 8 learners in order to identify health problems that impede learning and refer identified learners for further treatment and care. ■ Mobile clinics taking health services to the people. Doctors in training to provide health care to all. MASIPHATHISANE ISSUE 2 - HEALTH SERVICES 3 PROMOTING BETTER HEALTHCARE FOR ALL IN THE EASTERN CAPE Eastern Cape health department uses mobile clinics to take health care to the people. he Eastern Cape provincial government continuously review its strategies results. Tto yield sustainable long-term health benefits for all citizens of the province.
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